Doctor profile · Federal record
Dr. Andre Boustani, M.D.
Emergency Medicine Physician (CMS: Emergency Medicine) · Emergency Medicine Physician · La Mesa, CA
- NPI 1386938397
- Accepts Medicare
- MIPS 67.1 / 100 · 2023
- 15 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
5555 Grossmont Center Dr
La Mesa, CA 919423019
(619) 740-6000
Credentials & registration
- NPI registered
- June 2011 — 15 yrs on file
- Profile last updated
- November 29, 2021
- Year of graduation
- 2011 — 15 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State licenses (2)
- California #135379 · Rhode Island #LP02315
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1386938397. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
781
Distinct HCPCS
5
Medicare allowed
$91,443
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99285 |
Emergency department visit with high level of medical decision making | 321 | 314 | $177 | |
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 254 | 239 | $8 | |
99291 |
Critical care, first 30-74 minutes | 92 | 91 | $218 | |
99284 |
Emergency department visit with moderate level of medical decision making | 87 | 87 | $122 | |
99283 |
Emergency department visit with low level of medical decision making | 27 | 27 | $72 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 119. This provider delivers 6.6× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
166
Patients
166
Total drug cost
$1,206
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Ibuprofen | Generic | 40 | 40 | $215 |
| Ondansetron Odt (Ondansetron) | Brand | 32 | 32 | $260 |
| Oxycodone Hcl | Generic | 32 | 32 | $116 |
| Cephalexin | Generic | 25 | 25 | $377 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 13 | 13 | $159 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 12 | 12 | $49 |
| Prednisone | Generic | 12 | 12 | $30 |
Frequently asked questions
What is Dr. Andre Boustani's medical specialty?
Dr. Andre Boustani practices Emergency Medicine Physician in La Mesa, CA.
Where does Dr. Andre Boustani practice?
Dr. Andre Boustani practices at 5555 Grossmont Center Dr, La Mesa, CA 919423019. Office phone: 6197406000.
What is Dr. Andre Boustani's NPI?
Dr. Andre Boustani's National Provider Identifier (NPI) is 1386938397, issued by NPPES.
Does Dr. Andre Boustani accept Medicare assignment?
Yes. Dr. Andre Boustani accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Andre Boustani commonly perform?
Top Medicare-reported procedures in 2023: Emergency department visit with high level of medical decision making (HCPCS 99285); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.